HomeMy WebLinkAboutHomestead_Ingle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Prepare of the Sales Disclosure Form Title
5,259 S. 775 u).
Address(Number and Street) Company
Ow eru Si,"/e 1-j) 5474 0 s
City,State,and ZIP Code Telephone Number E-mail
'E.SELLER(S)/GRANTOR r -- t .-1:1,-,4s.-.-. . - _ i ,
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Seller I-Name as'pappean on conveyance document Seiler 2-Name as appears on conveyance document
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Address(Number and Street) �— I Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as requ' • a •y law and is I epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of5dler / Signature of Seller
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Printed Name of Seller Sign Date(MM/DD/YYn) Printed Name of Seller Sign Date(MM/DD/YYYn
F.BUYER(S�' GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS:THAT APPLY.'.A _ "_;'
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address o berm )���/ X�. 7 60 Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS JV TY.IDENTIFY ALL OF THOS AT P
Y [GNOMON ONDrnON
E S 0 1.Will this property be the buyer's primary :Homestead NO V 5 2014
residence? Provide complete address of primary ❑ ' 4. olar Energy Heating/Cooling System
residence,including county:
❑ Hydr ale 0Devlc�y
Address(Number and Street) G1 '" ❑ 6.Hydroele rJJ]]���`¢`¢ '1
y�3 N•J/ t'5f'OA4 j*vk, - N• Gibs ' ❑ 7. othermal Energy HeahngiCodlTi Vice
City,State ZIP County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties)
Address(Number and Street)
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city,State VP Code County
Prima property owner can name Email